Nangmah emaw, i hmangaih tak emaw cancer vei nia hriat a nih chuan a enkawl dan tur ngaihtuah buai leh hlauhthawn hi thil pangngai tak a ni. A bik takin doctor-in damdawi thar a sawi hian eng nge a nih chiang taka hriat a harsa thei hle. Chuvangin, vawiin hian cancer enkawlna atana hman thin vaccine `Trabectedin` chungchang kan sawi dawn a ni . He thuziak ah hian he damdawi chungchang hi a awlsam em em, hriatthiam awlsam takin kan sawi dawn a, a hnathawh dan te, a ei dawna fimkhur a ngaihna te, leh a nghawng tha lo tak tak a thlen theih dan te kan sawi dawn a ni.
Trabectedin hi eng damdawi nge ni?
A awlsam zawngin, Trabectedin hi cancer cells te than dan control emaw, tihkhawtlai emaw damdawi a ni . Chemotherapy hmanga enkawlnaah dah a ni. A bik takin he damdawi hi cancer chi khat ` Sarcoma ` tih enkawlna atan hman a ni.
Tunah chuan `Sarcoma` hi eng nge ni tih i ngaihtuah mai thei. Kan taksa connective tissue- a awm cancer chi khat a ni. Kan ruh, ruh, thau, thisen kalna ... `Sarcoma` tih hi chutiang hmuna cancer awm thin chu han ngaihtuah teh. Chuvangin `Trabectedin` hian chu cancer cell te chu an inthen darh a, an darh zel tur chu a titawp a ni. He damdawi hi `Yondelis` tih hming puin market-ah hmuh theih a ni.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle. `Trabectedin` enkawlna i tan hmain i doctor hian i hriselna chanchin kimchang a hriat a pawimawh hle . He damdawi hian damdawi lam natna dang i neih theihte nen a inzawm thei a ni. Chuvangin a hnuaia mi te hi i neih chuan i doctor hnenah hrilh ngei ngei tur a ni.
- Lung natna : Lung natna i nei tawh emaw, i neih mek emaw min hrilh teh. Cancer damdawi thenkhat hian thinlung hnathawh hi eng emaw chen a nghawng thei a ni.
- Kidney natna: 1.1.Kan taksaa bawlhhlawh tam zawk hi kal (kidney) hian a filter chhuak thin. Damdawi pawh chutiang bawk chu a ni. Chuvangin kal (kidney)-ah chak lohna a awm a nih chuan doctor-in a hriat a pawimawh hle.
- Thin natna: Kan taksa peng pawimawh dang chu thin (liver) hi a ni. Damdawi hi liver hian a metabolize a ni. Chuvangin liver-a natna eng pawh hian damdawi thatna a tichhe thei a ni.
- Thisen cell level hniam: I thisenah thisen var, red blood cell, platelet i nei tlem tawh em tih min hrilh ang che.
- Muscle aches or weakness: Muscle na emaw chak lohna emaw i neih fo chuan min hriattir ang che.
- Allergy: Hei pawh hi a pawimawh hle. Allergic reaction i neih chuan Trabectedin chauh ni lovin, damdawi dang, ei tur, dye, preservative dang pawh i neih chuan i doctor hnenah i hrilh ngei ang.
- Naupai emaw, nau pai tum emaw: Naupai emaw, nau pai tum emaw, rai i rinhlelh emaw a nih chuan he damdawi hi i tan hmain doctor i hrilh hmasa phawt tur a ni. He damdawi hian nausen piang lai a tichhe thei a ni.
- Nau hnute pek: Nu hnute petu i nih chuan Doctor hnenah pawh i hriattir tur a ni.
He thu hi thup lovin doctor nen zalen taka inbiakna neih hi i himna atan a pawimawh hle.
Engtin nge he damdawi hi ka pek theih ang che?
`Trabectedin` hi pill emaw syrup emaw in lama ei tur a ni lo. Vein chhunga injection a ni. Chumi awmzia chu he enkawlna hi damdawi in emaw clinic emaw-ah trained medical team-in an pe che tihna a ni.
He damdawi hi saline bottle hmangin thisenah pek a ni tlangpui. Hetiang kalphung hian hun engemaw chen a la duh a ni. Enkawlna i dawn apiangin `MedGuide` tih hming pu special information leaflet pek i ni ang. He damdawi chungchangah hian thu pawimawh tak tak a awm a. Enkawlna apiangah uluk taka chhiar a pawimawh hle.
Damdawi dose tihpun a nih chuan eng nge tih tur?
He damdawi hi damdawi in hmuna pek a nih avangin, doctor leh nurse te enkawlna hnuaia pek a nih avangin overdose theihna a tlem hle. Mahse, natna lan chhuah dan danglam tak i neih chuan medical team hnenah hriattir nghal rawh. Chutiang a nih loh chuan doctor ko rawh. Emergency a nih chuan Colombo National Hospital-a National Poisons Information Center-ah pawh thurawn dil theih a ni bawk.
Treatment session ka neih loh chuan engtin nge ni ang?
He enkawlna hi schedule mumal takah pek thin a ni. Chuvang chuan Doctor-in a pek ni leh hun a pek ang chiah chiaha enkawl a pawimawh hle. Eng thil vang pawhin treatment session neih loh tur. Eng emaw chhan vanga ni ruat saah i lo kal thei lo a nih chuan call hmasa la, i medical team hnenah hriattir la, hun dang ruahman rawh.
Trabectedin nena inzawm thei thil dang
Damdawi dang i ei hian he damdawi hnathawh dan hi a nghawng thei a ni. Tin, Trabectedin hian damdawi dang hnathawh dan a tidanglam thei bawk. Hei hi interaction kan tih chu a ni.
Chuvangin, i hman zawng zawng chu i doctor hnenah hrilh rawh. Chumi awmzia chu:
- Natna dang atana doctor-in a pek chhuah damdawi
- Damdawi damdawi pek loh
- Vitamin, herbal products, emaw dietary supplement dang emaw te pawh a awm thei
- Sinhala emaw Ayurvedic damdawi emaw
A hnuaia tarlan te hi `Trabectedin` nena inzawm thei thil thenkhat an ni.
- HIV emaw AIDS emaw avanga antiviral damdawi pek thin
- Antibiotics thenkhat, entirnan `clarithromycin` leh `telithromycin` te.
- Fungal infection tan damdawi thenkhat pek thin, entirnan `ketoconazole`, `itraconazole`.
- Damdawi thenkhat, natna enkawlna atana hman thin, seizure ang chi (carbamazepine leh phenytoin ang chi) .
- Grapefruit tui tak a ni
- Herbal atanga siam St. John’s wort a ni
- Ruihhlo `Rifampin` ang chi te
He list hi a kim lo. Chuvangin, i damdawi ei zawng zawng te, chubakah zu i in emaw, zu i in emaw te chu i doctor hnenah hrilh la, i himna tur a ni.
Enkawl lai hian a bik takin i fimkhur tur thilte
I medical team chuan i enkawlna chhung zawngin i hriselna chu uluk takin an enfiah ang a, i taksa pawh i enkawl tur a ni.
A tlangpuiin hrisel lohna neia inhriatna
Chemotherapy hian kan taksaa cancer cell leh cell hrisel te a nghawng vek a. Chuvangin enkawl lai hian chau, rilru hah, leh a tlangpuiin hriselna tha lo tih hi thil pangngai a ni. Heng harsatnate hi i tawng a nih pawhin i doctor-in chawlhsan tura a tih hma loh chuan enkawl chhunzawm zel ang che. Mahse, side effect i neih apiang chu i medical team hnenah hriattir ngei ang che.
Hri kai theihna a awm
He damdawi hian i taksa immune system a tichak lo thei a, chu chu i natna a hlauhawm zawk tihna a ni.
- Khawsik, khawsik, ril na, khuh te i nei a.Khawsik natna lanchhuahna, hnar chhuak ang chi i neih chuan nangmah chauhin damdawi ei tum lo la, doctor ko nghal la, thurawn la rawh.
- Mipui tamna hmuna kal leh damlote nena inpawh tawn chu a theih ang anga tih tlem.
Painkiller hman dan
Hetih lai hian khawsik i nei em tih hriat a pawimawh hle. Painkiller `Aspirin`, `acetaminophen` (Panadol), `ibuprofen`, `naproxen` ei hian taksa khawsik a titawp thei a, natna hrik a awm loh nan a veng thei bawk. Chuvangin, doctor rawn hmasa lovin heng natna tidamtu damdawi te hi hman loh tur a ni.
Ha hriselna
Enkawl lai hian i hmuiah thisen a chhuak tam zawk. Infection pawh a awm thei bawk. Chuvangin ha i sil leh flossing dawnin zaidam tak leh fimkhur hle ang che. Ha enkawlna eng emaw i neih a ngai a nih chuan Trabectedin i ei thu i ha enkawltu hnenah hrilh ngei ang che.
Naupai leh fa neih
Hei hi hmeichhia leh mipa tan pawh thil pawimawh tak a ni.
- Hmeichhia tan: He damdawi i ei lai leh i ei hnuhnung ber atanga thla 2 chhung chu naupai loh tur a ni. He damdawi hian nausen piang laiah piansualna nasa tak a thlen thei a ni. Naupai i nih loh leh naupai loh enfiah nan enkawl tan hmain naupai test i neih hmasak phawt a ngai. Hemi hun chhung hian naupai venna rintlak tak i hmang tur a ni bawk. Hemi chungchang hi i doctor nen sawiho rawh.
- Mipa tan: He damdawi hi i ei lai leh i ei hnuhnung ber atanga thla 5 chhung chu fa neih loh tur a ni. Hemi hun chhung hian sex hman laiin condom hman a pawimawh hle.
- Nau hnute pek: He damdawi ei lai hian nau hnute pek loh vek tur a ni.
- Fertility: He damdawi hian fertility a nghawng thei. Hemi chungchangah hian ngaihtuahna i neih chuan i doctor nen inbia ang che.
Side effects fimkhur tur a ni
Damdawi dang ang bawkin `Trabectedin` hian side effect a thlen thei a ni. Mi zawng zawngin an hmu vek lo. Amaherawhchu, an hriat chian a pawimawh. Heng side effects te hi chi hnih ah then ila.
| Side effect a awm thei | Description leh tih tur |
|---|---|
| Side effects te chu i medical team hnenah hriattir nghal tur a ni | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. Hengte hi emergency a nih avangin enkawl vat a ngai a ni. |
| Capillary leak natna (capillary leak) natna a ni | Pum emaw, taksa ruh emaw a na, hah dan pangngai lo, muhil, zun chhuah tlem, ke ruh, kut leh ke a hring, leh thawk harsa. |
| Lung lam chak lohna | Thâwk harsa, ke ruh, ke, kut zungtang, rang taka taksa rihna sang, danglam taka chau emaw chak lo emaw tih hriat. |
| Hri kai theihna chhinchhiahna | Khawsik, khawsik, khuh, ril na, hliam dam lo, zun laiin na. |
| Liver hliam chhinchhiahna | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, bawlhhlawh rawng hring, zun dum emaw sen emaw, vun emaw mit emaw a sen. |
| Muscle hliam a awm | Chauhna danglam tak, taksa ruh na, zun dum emaw sen hring emaw, zun chhuah tlem. |
| Thisen chhuah emaw, hliam emaw danglam tak | Hliam te tak te atang pawhin a tawp lo thisen chhuak, vun hnuaiah a tul lo taka hliam a awm thin. |
| Injection na hmuna natna | Injection na hmun vel a sen, a hring, a lum, a na, emaw, a hring/hliam emaw a awm. |
| Side effects nasat loh tlangpui, mahse a awm reng emaw, a buaithlak emaw chuan doctor hnenah hriattir tur a ni: | |
| Digestive system lama harsatna awm thei | Constipation, Diarrhea, Luak chhuak, Luak chhuak. |
| Harsatna awm fo dangte | Chauhna, lu na, chaw ei chak lohna. |
Take-Home Thuchah a ni
- `Trabectedin` hi cancer chi khat `Sarcoma` tih enkawlna atana hmanraw chak tak a ni.Damdawi inah pek thin a ni a, damdawi lam enkawlna hnuaiah pek thin a ni.
- Damdawi dang i neih zawng zawng, damdawi i ei zawng zawng (Sinhala damdawi te pawh tel), leh allergy i neihte chu enkawl tan hmain doctor hnenah hrilh hmasa phawt ang che.
- Inenkawl laiin khawsik, natna kai chhinchhiahna, thisen chhuak danglam tak, emaw, nghawng na tak tak dang i neih chuan damdawi lam thurawn la nghal rawh.
- Hmeichhia leh mipa tan pawh naupai lai leh a hnua hun engemaw chen naupai loh nan naupai venna hmanraw rintlak tak tak hman a pawimawh hle.
- I enkawlna chungchanga zawhna, hlauhthawnna, leh ngaihtuahna i neih apiang chu i doctor nen zalen takin sawipui rawh. I tanpui turin an inpeih reng a ni.











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